| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $63 | $79 | $95 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $102 | $106 | $111 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $120 | $120 | $120 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $90 | $128 | $166 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $144 | $144 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $173 | $173 | $173 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $92 | $92 | $92 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $134 | $134 | $134 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $139 | $139 | $139 |
| Group psychotherapy CPT 90853 • Mental Health | $37 | $37 | $37 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $3 | $5 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $84 | $164 | $245 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $179 | $190 | $201 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $179 | $205 | $231 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $483 | $483 | $483 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $77 | $77 | $77 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $70 | $70 | $70 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $228 | $228 | $228 |
| EMG needle each extremity complete CPT 95886 • Neurology | $61 | $71 | $81 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $55 | $55 | $55 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $61 | $110 | $161 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $108 | $122 | $129 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $110 | $150 | $169 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $253 | $253 | $253 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $62 | $81 | $100 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $86 | $142 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $116 | $217 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $167 | $241 |
| Office visit established patient minimal CPT 99211 • Office Visits | $12 | $21 | $33 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $30 | $55 | $75 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $69 | $121 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $59 | $123 | $171 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $30 | $130 | $193 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $76 | $110 | $135 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $113 | $160 | $186 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $149 | $206 | $268 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $43 | $55 | $70 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $73 | $103 | $130 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $103 | $135 | $169 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $75 | $104 | $130 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $106 | $137 | $163 |
| Consultation office low complexity CPT 99243 • Office Visits | $129 | $145 | $161 |
| Consultation office high complexity CPT 99245 • Office Visits | $299 | $300 | $301 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $818 | $938 | $1,059 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $61 | $63 | $65 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,569 | $1,783 | $1,997 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $233 | $308 | $415 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,452 | $1,651 | $1,850 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $668 | $762 | $856 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $398 | $399 | $400 |